# C & C ENTERPRISE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043535750
- **Authorized official:** MISS WILLIAM WHITE (PRESIDENT)
- **Authorized official phone:** (404) 419-6274

## Contact information

- **Practice address:** 3425 ESTATE LAKE DRIVE, FAIRBURN, GA 30213-3111
- **Practice address phone:** (404) 419-6274
- **Practice address fax:** (770) 756-9985
- **Mailing address:** 3425 ESTATE LAKE DR, FAIRBURN, GA 30213-3111
- **Mailing address phone:** (404) 419-6274
- **Mailing address fax:** (770) 756-9985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1501010810 | GA | Yes |

## Other

- **Enumeration date:** 04/06/2010
- **Last updated:** 04/06/2010